Author: Prashant Naik

Autogenous Block Graft

Prashant Naik

The following patient, in his 50’s, had a history of crowns from his teenage years, due to staining and possible enamel defects. The UL1 was root treated and all his crowns changed 10-15 years ago .



The UL1 was removed six months prior to commencing implant treatment, due to an apical abscess with a draining sinus. This region healed with a subsequent bony defect, which required augmentation prior to implant therapy.

Due to the size of the defect and high smile line, after going over all of his options, the patient opted for the gold standard, an autogenous block graft. The only suitable intra-oral donor site available was his mandibular symphysis. The implant was placed 4 months after the block graft and UL1 restored 3 months later. Treatment was successfully carried out with an acceptable aesthetic result the patient was extremely happy with. We also replaced the leaking crown of the UR1.

Unrestorable Vertical Fracture

Prashant Naik

Patient had a bicycle accident and suffered unrestorable vertical fracture of his UL2

UL2 was extracted atrumatically and immediate Rochette bridge placed, with a cleansable design, ensuring no pressure on the healing socket

UL2 3/12 post healing-NOTE high smile line and height and width defect

CBCT-Simplant planning demonstrates thin ridge of 5-6mm. Patient consented to implant placement with ridge expansion, to manipulate and preserve the buccal plate

Ankylos TissueCare Concept

Prashant Naik

For Attractive long-term success rate

Solid, stable and reliable for over 25 years: ANKYLOS C/X is the solution for all clinical indications – with its predictable, natural aesthetics and top mechanical stability. The tapered connection is designed for initial and long-term tissue stability. The extremely accurate TissueCare Connection has virtually no micromovement and is almost totally bacteria-proof. And it is also keyed and friction-locked – to prevent bone resorption and to ensure stable and healthy hard and soft tissue.

Stable, predictable results for you and your patients? DENTSPLY Implants ANKYLOS C/X offer: The unique tapered TissueCare Connection transfers the transition between implant and abutment to the center of the implant and prevents mechanical influences on it and microbial attack on the peri-implant tissue. It provides additional space on the implant shoulder for the surrounding soft tissue. In combination with subcrestal placement and the microstructured implant it enables deposition of bone cells up to the abutment – for additional support of the overlying soft tissue. Ideal conditions for lasting red-white aesthetics.

Ease of use with maximum functionality and aesthetically demanding results? The new ANKYLOS C/X placement system enables accurate positioning of implants with a view of the implant shoulder even with subcrestal placement. The progressive thread design makes it easy to screw the implants into position and enhances tissue retention. The keyed and friction-locked TissueCare Connection makes surgery and prosthetics completely independent from each other. And with only one diameter for all prosthetic components any abutment can be combined with any implant as desired – now with the option of indexing. For a brilliant result over the long term and economical treatment combined with lower storage requirements.